When the nurse brings the preoperative medication to the client about to have abdominal surgery, she tells the nurse that she does not need the injection because she had a good night's sleep last night. What is the nurse's best first action?
A. Tell the client that her surgeon has ordered the medication; therefore, she should go ahead and take the medication because the surgeon knows what is best.
B. Tell the client that the preoperative medication is ordered to reduce the risk of some problems during surgery rather than to ensure adequate rest.
C. Appropriately discard the preoperative medication and notify the surgeon.
D. Document the client's statement and notify the charge nurse.
B
The preoperative medication is prescribed to prevent a vagal response during intubation and sur-gery, reduce the amount of anesthetic needed during induction, and reduce anxiety.
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A patient with carotid atherosclerosis asks the nurse to describe a carotid endarterectomy. Which response by the nurse is accurate?
a. "The obstructing plaque is surgically removed from an artery in the neck." b. "The diseased portion of the artery in the brain is replaced with a synthetic graft." c. "A wire is threaded through an artery in the leg to the clots in the carotid artery and the clots are removed." d. "A catheter with a deflated balloon is positioned at the narrow area, and the balloon is inflated to flatten the plaque."
A resident is confused. She thinks her name is "Mary Gold." What should you do?
a. Use the name she prefers. b. Use her real name. c. Check her ID bracelet instead of calling her by name. d. Tell her that she is not Mary Gold and ex-plain who she is.
Prophylactic use of bisphosphonates is recommended for patients with early osteopenia related to long-term use of which of the following drugs?
1. Selective estrogen receptor modulators 2. Aspirin 3. Glucocorticoids 4. Calcium supplements
Which information should the nurse include in the teaching for a client prescribed testosterone?Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
A. "Place the patch on a place that does not have hair." B. "Avoid placing the patch on active areas like the thigh or arm." C. "The patch should be changed every 7 days." D. "Observe for a rash at the patch site." E. "Keep these patches away from children."